IndividualActive
Bonnie Edgar, OTR
NPI 1174842454 · Occupational Therapist · Fort Myers, FL
Provider details
- NPI number
- 1174842454
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- Yes
- License
- Z10640 (LA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3880 Colonial Blvd Ste 2
Fort Myers, FL 33966-1062
Phone: (239) 351-3715
Fax: (239) 351-2046
Street-level locationGet directions
Mailing address
4412 Vanda Dr
Bonita Springs, FL 34134-4082
Registry dates
- Enumerated
- 2010-05-25
- Last updated
- 2023-11-01
- Certified
- 2023-11-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.